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Home My WebLink AboutBuilding Permit #151 - 24 ROSEDALE AVENUE 8/24/2007 pORTH BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received �9SSAc►+usr`i�� Date Issued: IMPORTANT:Applicant must complete all items on this page 9 AF LO—CAT'IC N . ,s Pnnt PROPEI Y OWNER% MAP �ON31NG LISTf °ICT Itstfli r�rc Di :trictKK NlachrwSlop.Villag� yes �no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ,'K One family El Addition El Two or more family ❑ Industrial )(Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other b SetF ❑ ltlell� Flnod �n Wetlands ❑.'Watershed C3istr / G1e7eYY u DESCRIPTION OF WORK TO BE PREFORMED: ICA,lT 7/?,ot-11h/G► - X12 y eA).4LG - 'LAK A!7 ��7l ri✓Gr W Yeti>y k�S A)G eO&Ank g UJA S 4,5- Identification SIdentification Please Type or Print Clearly) OWNER: Name: iLC--rQ ,412.&- 0 -LS Phone: Address: C(ONTZACTOFt Name �,q r °.ePhoeg x ; Address h SUp@rUISQT S�✓Q�.tl��rl�a L�{ie LLL CX ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 20 0010 FEE: $ aha Check No.: 3H-�-- Receipt No.: r�v S 3 a— NOTE: Persons contracting with unrepristomd contractors do not have access to the guaranty_fund SFgriature of Agent/ 3wner Signature a#contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOS Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING &-DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ . ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Drivewav Permit Located at 384 Osgood Street FIRE;"DEPARTINIENT Temp Dumpste on site yes no Located at v. Main Street<' � Y Fire Departrnenfi signature. a#e __ COMMENT Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) ❑ Notified for pickup - Date __...................................................................................................................................................................................................._........ ......_... Doc.Building Permit Revised 2007 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Location No. Date �oRTM TOWN OF NORTH ANDOVER AL f 9 Certificate of Occupancy �'�s'"•° Et'�' cMus Building/Frame Permit Fee $ s� Foundation Permit Fee Other Permit Fee $ TOTAL $ Check # L LDJ0 .1 v Building Inspector 354 ` entry area.__..._... � Finished Area 174 -_ �u mp olaset PO Finished Area 2 U R CLOSET M hePdes P LIfinished Storage Area Utility Room ' �d 18'4 14' t NORTIy _ Town of And 0 In 0 . '� dover, Mass.,'aZ : 6 4:;L . COC MIC NE WICK V A�RATE O P`P�\ �5 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT....., �/�.�... Q....... ........ Foundation has permission to erec �.1. � � �� 's ...................................=Uildings on .. ....... ....... ............................... ...... Rough to be occupied as...... �., !!��. .................... 0 Chimney ....................... .............................................. ........................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final a�o 4000 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU O Rough .................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. NORTH TOWN OF NORTH ANDOVER F:°•�;`'° A OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover,Massachusetts 01845 �ss�c►+uss� Gerald A.Brown Telephone(978)688-9545 Fax (978)688-9542 Inspector of Buildings ' HOMEOWNER LICENSE EXEMPTION Please print DATE: O�Z!12/O JOB LOCATION: Number Street Address Maput HOMEOWNER riECo k2eCC-s C?Y,?-&9-3 -5 q02 97'p f L-29-/S Name Home Phone Work Phone PRESENT MAILING ADDRESS ,P'1 RDSE p 4 L c Ar/� A/02TN AJDO,,L-12 V,4 City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which helshe resides or intends to reside,on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that helshe understands the Town of North Andover Building Department minimum inspection procedures and requirements he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFIC Revised 10.2005 Form Homwwws Exmp4on BOARD OF kPPE:ILS(M-9541 CU.NSMArION 638-9530 ITEALIE 698-9540 PLANNING 68S-9535